Background: Patients with End-stage renal disease (ESRD) who are dialysis-dependent have an elevated risk of peri-operative morbidity and mortality. There are many scoring tools that can help predict perioperative risk. Unfortunately, none were validated specifically for patients with ESRD. We aimed to compare the performance of the Revised cardiac risk (RCRI) and the AUB-HAS2 scores [...]

Case Presentation: A 57-year-old incarcerated male with end stage renal disease (ESRD) on hemodialysis, coronary artery disease (CAD), and Gastroesophageal reflux disease (GERD) presented to the emergency department with several episodes of hematemesis, shortness of breath and fatigue for the past 2 days without any associated abdominal pain, dysphagia, or odynophagia. On exam, he was [...]

Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and [...]

Case Presentation: A 56-year old woman with history of ESRD on hemodialysis presented with loss of consciousness. She had an AV fistula placed in her left forearm 5 days prior to presentation. She started feeling discomfort and swelling of the left side of her neck during a transcontinental flight, associated with severe lightheadedness. She continued [...]

Case Presentation: Our patient is a 42-year-old male with history significant for hypertension, end stage renal disease (ESRD) on hemodialysis (HD), anemia of chronic disease, renal osteodystrophy, and right wrist calciphylaxis who presented with worsening right wrist erythema and bleeding. Patient had reported non-compliance with his dialysis schedule and noted to have multiple previous admissions [...]

Case Presentation: 44 year-old male with ESRD on HD complicated by tertiary hyperparathyroidism, possible calciphylaxis on treatment with sodium thiosulfate, possible adrenal insufficiency on steroids, antithrombin III deficiency with prior pulmonary and splenic infarcts on Coumadin who developed a diffuse cutaneous skin eruption during a recent admission after being on antibiotics for possible pneumonia. He [...]

Case Presentation: A 60 year-old man with a past medical history of end-stage renal disease (ESRD) on hemodialysis (HD) was admitted after a becoming hypotensive during dialysis. The patient denied any fevers or chills, but endorsed progressive malaise and increased pain on the tip of his penis. Physical exam was significant for a blood pressure [...]

Case Presentation: A 45 year old woman with a past medical history of ESRD on hemodialysis, antiphospholipid syndrome on warfarin, and type 2 diabetes presented with severe, diffuse, intermittent abdominal pain. Physical exam was notable for tender subcutaneous nodules in the lower abdomen associated with overlying violaceous patches and central necrosis. Labs were notable for [...]

Case Presentation: A 51year-old female presented with one week of worsening pain and malodorous drainage from a chronic breast wound. Her PMH included HTN induced ESRD on HD. Her wound started 6 months ago as a red rash that grew in size and became tender and ulcerative. Work up thus far included imaging such as [...]

Case Presentation: The patient is a 51 year old male with diabetes, peripheral arterial disease with extensive vascular surgeries including left below the knee amputation, ESRD on hemodialysis, multivessel coronary artery disease, history of seizures, who presented with altered mental status likely from missed dialysis. Patient was found to be afebrile, hypertensive to the 200s [...]